TY - JOUR
T1 - Effectiveness of exercise in the treatment of lumbar spinal stenosis, knee osteoarthritis, and osteoporosis
AU - Iwamoto, Jun
AU - Sato, Yoshihiro
AU - Takeda, Tsuyoshi
AU - Matsumoto, Hideo
PY - 2010/4/1
Y1 - 2010/4/1
N2 - Background and aims: Lumbar spinal stenosis (LSS), osteoarthritis (OA) of the knee, and osteoporosis are major locomotive diseases in the elderly population. The aim of this study was to examine the effectiveness of exercise in these three diseases. Methods: We reviewed the relevant literature, i.e., systematic reviews and meta-analyses searched with PubMed. Results: There is not sufficient evidence to draw conclusions regarding the effectiveness of exercise for LSS. However, muscle strengthening and aerobic exercises are effective in reducing pain and improving physical function in patients with mild to moderate OA of the knee. On the other hand, aerobics, weight bearing and resistance exercises are effective in increasing the bone mineral density of the spine in post-menopausal women, and walking is effective for the hips. Muscle strengthening, balance training and traditional Chinese Tai Chi reduce the risk of falls in the elderly. Conclusions: Based on a review of the literature, appropriate exercises should be emphasized for elderly patients, especially for those with mild to moderate OA of the knee or osteoporosis.
AB - Background and aims: Lumbar spinal stenosis (LSS), osteoarthritis (OA) of the knee, and osteoporosis are major locomotive diseases in the elderly population. The aim of this study was to examine the effectiveness of exercise in these three diseases. Methods: We reviewed the relevant literature, i.e., systematic reviews and meta-analyses searched with PubMed. Results: There is not sufficient evidence to draw conclusions regarding the effectiveness of exercise for LSS. However, muscle strengthening and aerobic exercises are effective in reducing pain and improving physical function in patients with mild to moderate OA of the knee. On the other hand, aerobics, weight bearing and resistance exercises are effective in increasing the bone mineral density of the spine in post-menopausal women, and walking is effective for the hips. Muscle strengthening, balance training and traditional Chinese Tai Chi reduce the risk of falls in the elderly. Conclusions: Based on a review of the literature, appropriate exercises should be emphasized for elderly patients, especially for those with mild to moderate OA of the knee or osteoporosis.
KW - Elderly people
KW - Exercise
KW - Knee osteoarthritis
KW - Lumbar spinal stenosis
KW - Osteoporosis
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U2 - 10.3275/6593
DO - 10.3275/6593
M3 - Article
C2 - 19920410
AN - SCOPUS:77953107906
VL - 22
SP - 116
EP - 122
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
SN - 1594-0667
IS - 2
ER -